Gynecomastia Surgery - Is This Swelling or Just a Bad Lipo?

I had lipo and gynecomastia surgery 7 weeks ago and I looked great after two weeks. Since then I have ballooned back to my preop size. I saw my doctor again at the instruction of doctors on this site, he said it was edema and to be patient. Below is the picture of how I look now, does this look like someone who had liposuction gynecomastia, liposuction abdomen, and liposuction love handles? I just dont knowif he is BSing me. Thanks for any help

Doctor Answers 12

Time will tell

Wear your garment  and wait.  It takes up to 6 months to see your final liposuction/gynecomastia result.  

Dr. ES

Still Swelling?

Hi J1224,

Thank you for your post and the photo. To give even more of a guided answer, it would have been helpful to see a before photo. That being said, it is quite normal to have swelling at 7 weeks. Typically the first wave of swelling decreases over 4-6 weeks. Once patients begin increasing their activity and exercising, some may experience an increase in swelling. I would not make any final determination until you are closer to 6 months post surgery.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 27 reviews

Swelling after surgery

Without a before photo is is difficult to assess outcome.  In addition, it is still too early to tell.  Swelling will last for months. If the problem was gynecomastia, liposcution alone almost is never sufficient to remove tissue.  Breast tissue can't be "sucked out" like fat.  nonetheless, wait and follow up with your doc.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 22 reviews

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Swelling May Take Up to 6 Months to Resolve; If the Problem Persists See Your Surgeon

It's not unusual for patients to experience swelling following surgery for gynecomastia. The majority of swelling resolves in four to six weeks, but may persist for up to six months.

It's encouraging that you were initially happy with the results of your surgery. This suggests that your areas of concern are probably related to swelling and should improve with time.

The use of compression garments and massage can help to minimize swelling and shorten the recovery period following surgery. It's important to start compression immediately after surgery before the swelling gets started. Once swelling occurs compression may not be as effective.

If this problem persists beyond six months it may be more than residual swelling. Under these circumstances, unresected glandular breast tissue may be a problem. This may ultimately require revisional surgery. It's important that you discuss these tissues with your surgeon. He will be able to make an appropriate recommendation. 

Swelling or inadequate result

It's normal to have swelling after the procedures you've had, but it is a good sign that you thought things looked good 2 weeks after surgery.  Nonetheless, management of the swelling with compression is helpful, though after 6 weeks, there's little evidence that it impacts the long-term results. It may improve the appearance acutely, so you may chose to wear it for that reason at this point.  It's best to speak with your surgeon, who can tell you how much fat was removed and may be able to give you a better sense of what your final results will be like. 

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If you had an excellent result 2 weeks after surgery and now see bulging, this is probably postoperative swelling which will take several months to dissipate. You may need to wear the compression garment. Continue to followup with your plastic surgeon. Best of luck.

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If you were pleased with the immediate post-operative result it is very likely that you will achieve this result over the long term if oyu maintain your weight. Wait at least 6 months prior to assessing the results.

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The fact that you looked good right after surgery makes me very optimistic that this is in fact swelling.

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.